第509例：疲劳、嗜睡、情绪障碍和中枢性甲状腺功能减退症。

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1. 1Chronic Fatigue? Consider Hypothyroidism1991 · 3 citations
2. 2A Rare Case Report of Mania Associated with Hypothyroidism2025
3. 37627 Prevalence Of True Endocrinopathies In Patients Presenting To An Endocrine Clinic With Fatigue2024
4. 4Clinical Presentation of Hypothyroidism in a Primary Care Cohort: An Exploratory Analysis of Gender Differences2026
5. 5Clinical Manifestations and Therapeutic Response in a Patient with Hypothyroidism: A Case Report2025